ABPA Application Form

Name

First NameLast Name

Email

example@example.com

I wish to qualify for the “Senior” procedural option (15 years of practice following licensure).

Doctoral Degree Type

Candidates should hold a doctoral degree (e.g., PhD, PsyD, EdD) earned in the United States, U.S. Territories, or Canada from a regionally accredited institution meeting the following:

Doctoral Degree Field

Doctoral Degree Institution

Doctoral Degree Date Received

Describe your internship program and indicate your primary supervisor.

Candidates must have completed a predoctoral internship in the United States, U.S. Territories, or Canada, or demonstrate equivalence of their predoctoral internship experience.

Year Internship was completed

Candidates must have completed a predoctoral internship in the United States, U.S. Territories, or Canada, or demonstrate equivalence of their predoctoral internship experience.

Was your internship APA or CPA Accredited or an APPIC member?

Please describe what state(s) you hold active licensure in.

The specialty of Psychological Assessment denotes a level of practice requiring preparation beyond doctoral requirements. The postdoctoral requirements include, at a minimum, 3 years of practice (which can include direct services, research, teaching, test development, etc.) in psychological assessment and 40 continuing education hours specifically in psychological assessment or adjacent topics. These 3 years may be structured in different ways:

A. One year of postdoctoral supervision in a successfully completed formal postdoctoral training program in an area of health service psychology, with a clear emphasis on psychological assessment, that is accredited by the APA or CPA or from an APPIC member program, followed by at least 2 years of continued practice (which does not require supervision or consultation). As part of continued practice, psychologists must accrue at least 40 hours of continuing education credits specifically on psychological assessment or adjacent topics prior to being eligible for ABPA.

OR

B. Two years of supervised (or if post-licensure, formal consultation with a licensed psychologist) postdoctoral practice experience consistent with that ordinarily associated with an area of health service psychology, with a clear emphasis on psychological assessment, followed by at least a year of continued practice. The 2 years must include a minimum of one hour per week of individual supervision or, if post-licensure, 1 hour per week of individual consultation with a licensed psychologist. Supervision/consultation may be obtained face-to-face or utilizing synchronous audio/visual telecommunication. The additional 1 year (12 months) of postdoctoral practice may or may not be supervised or have provided consultation. It is not required that the 24 months of postdoctoral practice and/or 12 months of postdoctoral supervision/consultation be consecutive months. As part of continued practice, psychologists must accrue at least 40 hours of continuing education credits specifically on psychological assessment or adjacent topics prior to being eligible for ABPA.

Please describe the A or B option as noted above.

While areas of practice often overlap, please select the area that you feel most aligns with your assessment work. For example, if you do both child and adult general assessments, you can select either Child/Pediatric or General/Personality assessment. This will help us align your evaluators with your practice samples and oral exam.

Please upload a copy of your CV/Resume.

Attestation that there are no current or previous ethics complaints or legal action against you.

If you are located in the U.S., U.S. Territories, or Canada, by selecting this bullet, you attest that you are licensed as a psychologist for independent practice at the doctoral level in a jurisdiction in the U.S., U.S. Territories, or Canada. Individuals whose training, education, and/or license is from outside of the U.S., U.S., Territories, or Canada should contact the ABPA Central Office (CO) for additional information prior to applying.

ABPA Application Form

Postdoctoral Practice Experience and Supervision Requirement